What measures do you attest to in 2016?
New Guidelines Overview
The Centers for Medicare and Medicaid published new guidelines in October 2015 concerning 20152017 Meaningful Use Reporting Requirements. These new guidelines outlined what measures providers
have to attest to in 2016 and 2017.
Previously, eligible providers had to attest to 13 core objectives and 5 of 9 menu objectives. This
changed with the new rules published in October 2015.
Based on that new rule, in 2016 and 2017, eligible professionals must only report to 10
objectives (including one consolidated public health reporting objective with 3 measure options that
providers scheduled to be on Stage 2 must select 2 of.)
This means the Amazing Charts wizard not only contains more measures than you’ll need to worry
about, but they’re numbered differently than they are in the October 2015 rule. Below, you’ll find a list
of the 10 objectives, how they’re identified in Amazing Charts, and what you have to do to meet it.
The 10 Objectives
Eligible providers must attest to 10 objectives, which includes one consolidated public health reporting
objective with measure options requiring EPs scheduled to be in Stage 2 to meet two public health
measures. These objectives are chosen (and some modified) from the Stage 2 measures in the MU
Wizard. You can see the CMS worksheet about these measures by clicking here and here.
Objective 1: Protect Patient Health Information (Core 9 in Amazing Charts)
Conduct or review a security risk analysis in accordance with the requirements in 45 CFR 164.308(a)(1),
including addressing the security (to include encryption) of ePHI created or maintained in CEHRT in
accordance with requirements under 45 CFR 164.312(a)(2)(iv) and 45 CFR 164.306(d)(3), and implement
security updates as necessary and correct identified security deficiencies as part of the EP’s risk
management.
CMS has created a tip sheet for the Security Risk Analysis measure.
Objective 2: Clinical Decision Support (Core 6 in Amazing Charts)
In order for EPs to meet the objective they must satisfy both of the following measures:
 Measure 1: Implement five clinical decision support interventions related to four or more clinical
quality measures at a relevant point in patient care for the entire EHR reporting period. Absent four
clinical quality measures related to an EP’s scope of practice or patient population, the clinical
decision support interventions must be related to high priority health conditions.

Measure 2: The EP has enabled and implemented the functionality for drug-drug and drug allergy
interaction checks for the entire EHR reporting period.
Exclusion: For the second measure, any EP who writes fewer than 100 medication orders during the
EHR Reporting period.
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Objective 3: Computerized Provider Order Entry (Core 1 in Amazing Charts)
An EP, through a combination of meeting the thresholds and exclusions (or both), must satisfy all three
measures for this objective.
 Measure 1: More than 60 percent of medication orders created by the EP during the EHR
reporting period are recorded using computerized provider order entry.
Exclusion: Any EP who writes fewer than 100 medication orders during the EHR reporting
period.

Measure 2: More than 30 percent of laboratory orders created by the EP during the EHR
reporting period are recorded using computerized provider order entry.
Exclusion: Any EP who writes fewer than 100 laboratory orders during the EHR reporting period.

Measure 3: More than 30 percent of radiology orders created by the EP during the EHR
reporting period are recorded using computerized provider order entry.
Exclusion: Any EP who writes fewer than 100 radiology orders during the EHR reporting period
Objective 4: Electronic Prescribing (Core 2 in Amazing Charts)
Measure: More than 50 percent of permissible prescriptions written by the EP are queried for a drug
formulary and transmitted electronically using CEHRT.
Exclusions: Any EP who writes fewer than 100 permissible prescriptions during the EHR reporting
period; or Does not have a pharmacy within his or her organization and there are no pharmacies that
accept electronic prescriptions within 10 miles of the EP's practice location at the start of his or her EHR
reporting period.
Objective 5: Health Information Exchange (Core 15 in Amazing Charts)
Measure: The EP that transitions or refers their patient to another setting of care or provider of care
must (1) use CEHRT to create a summary of care record; and (2) electronically transmit such summary to
a receiving provider for more than 10 percent of transitions of care and referrals.
Exclusion: Any EP who transfers a patient to another setting or refers a patient to another provider less
than 100 times during the EHR reporting period.
Objective 6: Patient Specific Education (Core 13 in Amazing Charts)
Measure: Patient specific education resources identified by CEHRT are provided to patients for more
than 10 percent of all unique patients with office visits seen by the EP during the EHR reporting period.
Exclusion: Any EP who has no office visits during the EHR reporting period.
Objective 7: Medication Reconciliation (Core 14 in Amazing Charts)
Measure: The EP performs medication reconciliation for more than 50 percent of transitions of care in
which the patient is transitioned into the care of the EP.
Exclusion: Any EP who was not the recipient of any transitions of care during the EHR reporting period.
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Objective 8: Patient Electronic Access (VDT) (Core 7 in Amazing Charts)
CMS created a tip sheet for the Patient Electronic Access objective.

Measure 1: More than 50 percent of all unique patients seen by the EP during the EHR reporting
period are provided timely access to view online, download, and transmit to a third party their
health information subject to the EP's discretion to withhold certain information.

Measure 2 (for 2016): For an EHR reporting period in 2016, at least one patient seen by the EP
during the EHR reporting period (or patient-authorized representative) views, downloads or
transmits to a third party his or her health information during the EHR reporting period.
Measure 2 (for 2017): In 2017, more than 5 percent of unique patients seen by the EP during
the EHR reporting period (or their authorized representatives) views, downloads or transmits
their health information to a third party during the EHR reporting period.
Exclusion for Measure 2 (2016 & 2017): Any EP who:
o Neither orders nor creates any of the information listed for inclusion as part of the
measures; or
o Conducts 50 percent or more of his or her patient encounters in a county that does not
have 50 percent or more of its housing units with 4Mbps broadband availability
according to the latest information available from the FCC on the first day of the EHR
reporting period.
Objective 9: Secure Messaging (Core 17 in Amazing Charts)
Measure (for 2016): In 2016, for at least 1 patient seen by the EP during the EHR reporting period, a
secure message was sent using the electronic messaging function of CEHRT to the patient (or the
patient-authorized representative), or in response to a secure message sent by the patient (or the
patient-authorized representative) during the EHR reporting period
Measure (for 2017): In 2017, for more than 5 percent of unique patients seen by the EP during the EHR
reporting period, a secure message was sent using the electronic messaging function of CEHRT to the
patient (or the patient-authorized representative), or in response to a secure message sent by the
patient (or the patient-authorized representative) during the EHR reporting period.
Exclusion (for 2016 & 2017): Any EP who has no office visits during the EHR reporting period, or any EP
who conducts 50 percent or more of his or her patient encounters in a county that does not have 50
percent or more of its housing units with 4Mbps broadband availability according to the latest
information available from the FCC on the first day of the EHR reporting period.
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Objective 10: Public Health Reporting (Core 16 and Menu 1 in Amazing Charts)
In order to meet the objective under paragraph (e)(10)(i)(A) of this section, an EP must choose from
measures 1 through 3 (as specified in paragraphs (e)(10)(i)(B)(1) through (3) of this section) and must
successfully attest to any combination of two measures. The EP may attest to measure 3 (as specified in
paragraph (e)(10)(i)(B)(3) of this section more than one time. These measures may be met by any
combination in accordance with applicable law and practice.
CMS created a tip sheet for the 2016 public health reporting objective.

Measure 1: Immunization Registry - The EP is in active engagement with a public health agency
to submit immunization data.
Exclusion: Any EP meeting one or more of the following criteria may be excluded from the
immunization registry reporting measure if the EP.
-Does not administer any immunizations to any of the populations for which data is collected by
its jurisdiction's immunization registry or immunization information system during the EHR
reporting period;
-Operates in a jurisdiction for which no immunization registry or immunization information
system is capable of accepting the specific standards required to meet the CEHRT definition at
the start of the EHR reporting period; or
-Operates in a jurisdiction where no immunization registry or immunization information system
has declared readiness to receive immunization data from the EP at the start of the EHR
reporting period

Measure 2: Syndromic Surveillance - The EP is in active engagement with a public health agency
to submit syndromic surveillance data.
Exclusion: Any EP meeting one or more of the following criteria may be excluded from the
syndromic surveillance reporting measure if the EP:
-Is not in a category of providers from which ambulatory syndromic surveillance data is collected
by their jurisdiction's syndromic surveillance system;
-Operates in a jurisdiction for which no public health agency is capable of receiving electronic
syndromic surveillance data from EPs in the specific standards required to meet the CEHRT
definition at the start of the EHR reporting period; o
-Operates in a jurisdiction where no public health agency has declared readiness to receive
syndromic surveillance data from EPs at the start of the EHR reporting period.

Measure 3: Specialized Registry Reporting - The EP is in active engagement to submit data to
specialized registry.
Exclusion: Any EP meeting at least one of the following criteria may be excluded from the
specialized registry reporting measure if the EP
o Does not diagnose or treat any disease or condition associated with, or collect relevant
data that is collected by, a specialized registry in their jurisdiction during the EHR
reporting period;
o Operates in a jurisdiction for which no specialized registry is capable of accepting
electronic registry transactions in the specific standards required to meet the CEHRT
definition at the start of the EHR reporting period; or
o Operates in a jurisdiction where no specialized registry for which the EP is eligible has
declared readiness to receive electronic registry transactions at the beginning of the
EHR reporting period.
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CQMs
Eligible professionals must attest to 9 clinical quality measures (CQMs) covering at least 3 National
Quality Strategy domains.
Reporting Period
For 2016, the EHR Reporting period for returning participants is a full calendar year (January 1 –
December 31, 2016). For first-time participants who have not successfully demonstrated meaningful use
in a prior year, the EHR reporting period is any continuous 90-day period within the calendar year.
Note: You don't have to attest to the following Stage 2 measures you'll see in the MU Wizard: Core
3: Record Demographics, Core 4: Record Vital Signs, Core 5: Record Smoking Status, Core 8: Clinical
Summaries (you don’t have to attest to this, but notice the modified rule still requires you send clinical
summaries to the portal for a percentage of your patients), Core 10: Clinical Lab Test Results, Core
11: Patient List, Core 12: Preventative Care.
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May 25, 2016